| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $248.81 | $248.81 | $248.81 | |
Aetna
| Professional | $76.45 | $82.82 | $129.50 | |
BCBS
| Facility | $144.43 | $144.43 | $144.43 | |
BCBS
| Professional | $144.43 | $144.43 | $144.43 | |
Cigna
| Facility | $70.80 | $70.80 | $156.10 | |
Cigna
| Professional | $51.68 | $51.68 | $112.51 | |
United
| Professional | $51.09 | $56.53 | $62.76 |